| NPI | 1083231070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: MO pending) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 75000172A) |
| 367H00000X Anesthesiologist Assistant (Licence: IN 75000172A) | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2024-02-26 |